Individual
MR. LARRY STEPHEN SEMERAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A., L.M.T.
Contact information
Practice address
9 GULF BREEZE CT, DESTIN, FL 32541-3041
(850) 830-4608
Mailing address
66 DALTON DR., SANTA ROSA BEACH, FL 32459-6512
(850) 830-4608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31435
FL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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